| NPI | 1619717451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029762) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA SP029762) |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: PA SP029762) | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-06-13 |