| NPI | 1639060197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 041.587136) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: OH APRN.CNP.0039570) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2026-05-21 |