| NPI | 1679051361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11022422) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 113547) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024176455) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2024-11-06 |