| NPI | 1548593338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023579) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 42 420929) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2025-10-03 |