| NPI | 1134372436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: PA SP010280) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP010280) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2024-07-30 |