| NPI | 1962472332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R1176933) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F081668) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2021-05-28 |