| NPI | 1720562622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP019258) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP019258) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP019258) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2022-12-08 |