| NPI | 1720335441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R265778) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: KS 53-75687-122) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2024-10-17 |