| NPI | 1467793844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MI 4704199245) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704199245) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2024-08-07 |