| NPI | 1497364400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R194125) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD R194125) |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2020-07-26 |