| NPI | 1780898007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN152990) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: DC RN66164) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R117585) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-03-18 |