| NPI | 1659757946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9481761) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-118699) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2018-04-18 |