| NPI | 1083400873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: CA 95314734) |
| Additional Taxonomies | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: CA 95314734) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |