| NPI | 1437400157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL APRN11025792) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AL 1-045094) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2023-05-16 |