| NPI | 1598948002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5006230) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9212017) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2020-01-08 |