| NPI | 1497391668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-164610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-164610) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-164610) | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2023-06-29 |