| NPI | 1184587925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 43660) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WY 43660) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 43660) | |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-12 |