| NPI | 1487082699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 18029) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 905954) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2023-05-23 |