| NPI | 1750766382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000020101) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN APN0000020101) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2024-10-22 |