| NPI | 1578330593 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI 4142) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4142) | 
| Enumeration Date | 2023-12-11 | 
| Last Update Date | 2023-12-11 |