| NPI | 1912333287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 5483) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 6505) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2019-06-07 |