| NPI | 1124328257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA A086738) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 209008366) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IA A086738) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008366) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209.008366) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2023-11-14 |