| NPI | 1487610184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 881-33) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 881-33) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2023-05-23 |