| NPI | 1932158516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3003839) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71001441A) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-08-14 |