| NPI | 1114281656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3006772) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 15531) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2025-04-09 |