| NPI | 1770147977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5015585) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 25134) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-08-01 |