| NPI | 1578364915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5021867) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 279507) |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-08-25 |