| NPI | 1962155184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11017509) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: FL APRN11017509) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2025-06-05 |