| NPI | 1265911523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA AP10148) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP10148) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2023-07-17 |