| NPI | 1659305837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MO 2020014182) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 146978-030) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-07-30 |