| NPI | 1578968244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.026217) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 19304) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2023-02-13 |