| NPI | 1568862944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014056) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA sp014056) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2019-04-11 |