| NPI | 1760097802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: UT 12818167-4405) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MA RN2335225) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-03-29 |