| NPI | 1578588992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT APRN100189) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT RN13548) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-07-21 |