| NPI | 1972993194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-109440) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9394966) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2023-09-25 |