| NPI | 1972174712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC SHAV-FO9W2) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 5015307) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2023-07-11 |