| NPI | 1558143073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14710) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 104239857) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-01-25 |