| NPI | 1659070167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11023254) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11023254) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-09-10 |