| NPI | 1679730303 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9482380) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 119969) | 
| Enumeration Date | 2008-05-20 | 
| Last Update Date | 2025-09-09 |