| NPI | 1548891211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 827724) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 266683) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NV 827724) | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2024-11-19 |