| NPI | 1285142778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9293500) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9293500) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2021-06-30 |