| NPI | 1508640616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11044939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4198) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN-4198) | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2026-04-13 |