| NPI | 1649259904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 65) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 091201-7) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2024-01-30 |