| NPI | 1821191909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 000029) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 000029) |
| 363L00000X Nurse Practitioner (Licence: CT 000029) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-02-20 |