| NPI | 1861428344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP01470) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP 9216691) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM R66903) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP007054) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2023-06-09 |