| NPI | 1881054468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: KS 5376623032) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MO 2014034029) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2021-07-07 |