| NPI | 1619550274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP0231631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0053938) |
| 363L00000X Nurse Practitioner (Licence: DE LH-0010302) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0010302) | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-02-26 |