| NPI | 1760264337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 215677) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 34885) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-01-18 |