| NPI | 1922336338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 21743) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN apn0000014398) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2020-11-25 |