| NPI | 1770185886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11015621) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0995865-NP) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2022-01-04 |