| NPI | 1588090195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024173201) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0024173201) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5006454) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2024-05-24 |