| NPI | 1629212212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC001949) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024168246) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2023-03-23 |