| NPI | 1700214525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA 07542) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 18030) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2026-02-17 |