| NPI | 1235119421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP2960) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ RN149791) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP2960) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-08-11 |