| NPI | 1083321285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR 10025826) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN287283) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2025-01-13 |