| NPI | 1629338637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R152415) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000198) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2025-06-30 |