| NPI | 1255838561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NC 5010454) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NC 5010454) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2022-03-07 |