| NPI | 1679071617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11540806-4405) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209.017090) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NV 819263) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2022-09-06 |