| NPI | 1902109085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004308) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 222554) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2021-10-05 |