| NPI | 1922698968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71013188A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3015713) |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2023-04-13 |