| NPI | 1093583072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP028924) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA SP028924) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2025-01-21 |