| NPI | 1003560269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11021482) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9425417) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-10-12 |