| NPI | 1982091344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP014696) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000211) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2021-09-08 |