| NPI | 1649596925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4028) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209-006009) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2021-11-18 |