| NPI | 1679917322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704224410) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704224410) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2023-08-28 |