| NPI | 1720281926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024174428) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL TPAN2229) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360136) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-06-09 |