| NPI | 1568689396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F160111) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-09-01 |