| NPI | 1427836808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018909) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 262049) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-01-08 |