| NPI | 1487027025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2015036193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015036193) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2021-02-04 |