| NPI | 1497364400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R194125) |
| 207V00000X Obstetrics & Gynecology (Licence: MD R194125) | |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2024-07-08 |