| NPI | 1225199771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R177053) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R177053) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024120309) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-10-24 |