| NPI | 1821641838 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000235) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035532) | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC004177) | |
| Enumeration Date | 2019-07-18 | 
| Last Update Date | 2025-05-08 |