| NPI | 1447727128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 8811) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 8811-33) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2021-04-01 |