| NPI | 1063297539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 75439) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM 75439) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 75439) | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-04-30 |