| NPI | 1043903214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL APRN11026682) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL 11026682) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-07-17 |