| NPI | 1902356074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP11663) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F143616) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2021-12-02 |