| NPI | 1619561834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11024386) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1074351) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2023-03-10 |