| NPI | 1346435054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 110896) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F-118125) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NE 110896) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2024-07-30 |