| NPI | 1679971741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ID 61699) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: ID 61699) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ID 61699) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2024-10-28 |