| NPI | 1609882570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP133842) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM R56983) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH RN241716) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 197559) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-11-22 |