| NPI | 1902139926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 239676) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 6173P) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2023-11-03 |