| NPI | 1396425518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 222075) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 222075) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ 222075) | |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |