| NPI | 1992221709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 261539) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NC 5009702) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-12-06 |