| NPI | 1922147388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1391332) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP1391332) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP 1391332) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-05-22 |