| NPI | 1962594655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP1864) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN109074) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-05-18 |