| NPI | 1740281468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5009656) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009656) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2025-10-20 |