| NPI | 1457585721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 4183) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R189180-7) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2021-02-17 |