| NPI | 1790955706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP09947) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2343570) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1177589) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL TPAN2502) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5013472) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2025-10-01 |