| NPI | 1982126686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: ID 53418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002287) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2021-01-12 |