| NPI | 1588843437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 1290) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN r134255o) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2020-11-12 |