| NPI | 1144920422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA A172772) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A172772) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA A172772) | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |