| NPI | 1184612111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 104299531) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL RN-3215122) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2024-01-24 |