| NPI | 1497040174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 127737) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F127737) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2022-07-21 |