| NPI | 1538129762 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NH 039588-23)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 039588-23-04)  | 
| Enumeration Date | 2006-03-23 | 
| Last Update Date | 2022-09-27 |