| NPI | 1477605418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 925282) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 598-033) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2026-03-20 |