| NPI | 1851378202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP6888) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ ORT1-0430-5501) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-11-21 |