| NPI | 1982250817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11003730) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: FL 11003730) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2024-01-16 |