| NPI | 1225672850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11004966) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 11004966) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL 11004966) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL 11004966) | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2020-03-12 |