| NPI | 1073288833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 050174-23) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 086329-21) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-11-04 |