| NPI | 1225334030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012661) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5012661) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP2521412) | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2023-01-18 |