| NPI | 1285925826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024169364) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0024169364) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2024-08-27 |