| NPI | 1851672968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP08015) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA AP08015) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN-1393) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2025-03-04 |