| NPI | 1730652280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: ID CNP60357) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 60357) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-10-31 |