| NPI | 1619784857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: WV 106845) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: PA RN707156) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-01-21 |