| NPI | 1619519428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012479) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5012479) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-31 |