| NPI | 1770217903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 905222) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA NP000689) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-15 |