| NPI | 1962992164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3012082) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: KY 3012082) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-08-31 |