| NPI | 1578602546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5014220) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 3426) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-04-15 |