| NPI | 1003568288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002267) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: SD CP002267) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: SD CP002267) | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2023-07-11 |