| NPI | 1649650854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS R882292) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP08121) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2024-10-23 |