| NPI | 1497815237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2605-033) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 2605-033) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2021-12-02 |