| NPI | 1710689351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11028264) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 33437) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-09-17 |