| NPI | 1205550126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MD R240443) |
| Additional Taxonomies | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: MD R240443) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-12-16 |