| NPI | 1821608472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP022418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP022418) |
| 207V00000X Obstetrics & Gynecology (Licence: PA RN713742) | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2023-01-12 |