| NPI | 1336771419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TN 36398) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: TX 839396) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TX 1003514) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: TX 1003514) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2024-12-03 |