| NPI | 1114686011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SD CP002235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002235) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2026-07-09 |