| NPI | 1275142648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NM 60952) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 60952) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2025-02-12 |