| NPI | 1326799313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 267132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 267132) |
| 363LP1700X Nurse Practitioner, Perinatal (Licence: AZ 267132) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ 267132) | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |