| NPI | 1740842475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R209519) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R209519) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-16 |