| NPI | 1639160518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R170167) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201392011NP-PP) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2022-10-14 |