| NPI | 1568569911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9232604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9232604) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-01-25 |