| NPI | 1750400545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R190265) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R190265) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: DC RN1019042) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-05-15 |