| NPI | 1851696991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-110965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-110965) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2021-09-28 |