| NPI | 1144724071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM 83054) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM RN-86467) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2025-09-10 |