| NPI | 1124638184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R266153) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC006141) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2025-03-19 |