| NPI | 1912590852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015932) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-153550) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2022-04-26 |