| NPI | 1780152827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 5011206) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5011206) |
| 163W00000X Registered Nurse (Licence: NC 249169) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2025-11-05 |