| NPI | 1699177550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 12749841-4405) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95001410) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-08-28 |