| NPI | 1497206916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: WI 7588) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209014953) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2021-12-28 |