| NPI | 1366053217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R178637) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R178637) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2021-05-17 |