| NPI | 1932454832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 280710) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2012020028) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-02-21 |