| NPI | 1588297170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 112869) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F160157) |
| 363L00000X Nurse Practitioner (Licence: NE 112869) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2026-06-25 |