| NPI | 1083925770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NC 5018034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5018034) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3006465) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-05-01 |