| NPI | 1841967247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: SC 25700) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: GA GAA-NP000128) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL 11013603) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-02-14 |