| NPI | 1336465301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MS 104351037) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN163035 NP) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-02918) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM CNP-02918) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2023-03-07 |