| NPI | 1265283493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD 234235) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD 234235) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD 234235) | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-29 |