| NPI | 1104847995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL APRN2202722) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL APRN2202722) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-01-26 |