| NPI | 1639724537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112910) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NE 112910) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2022-12-19 |