| NPI | 1619554458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014318) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC CARR-YPY06) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-05-21 |