| NPI | 1902079445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-2590) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101-0041402) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2023-12-13 |