| NPI | 1619281987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ND R31608) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R-198574-2) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2022-03-25 |