| NPI | 1477121036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA RN231274) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 231274) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2024-06-25 |