| NPI | 1982651196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 4154) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: ND R25903) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-01-22 |