| NPI | 1477613511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AZ AP1563) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: AZ RN102721) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP1563) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-03-07 |