| NPI | 1538103080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5017747) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN2547972) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-11-09 |