| NPI | 1821602814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11009534) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11009534) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421457) | |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2024-02-21 |