| 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) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-08-12 |