| NPI | 1457119950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024195391) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0024195391) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2026-02-06 |