| NPI | 1982767497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: SC 1434) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 1434) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: SC 1434) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-11-11 |