| NPI | 1639727399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R201254) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R201254) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-07-29 |