| NPI | 1467928275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 2329923) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000025019) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-01-05 |