| NPI | 1912880881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F183564) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 1000602) |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2026-09-02 |