| NPI | 1942706452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9412679) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP9412679) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-02-21 |