| NPI | 1265802953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0010264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0070537) |
| 163W00000X Registered Nurse (Licence: PA RN608307) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP015335) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2022-10-12 |