| NPI | 1770734402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 26628) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL arnp9442154) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3005739) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2024-01-16 |