| NPI | 1821249475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA F104491) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 041322517) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2023-12-11 |