| NPI | 1619370053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9482070) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 16289) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2021-01-20 |