| NPI | 1154919736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL MD33350) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F01210174) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-11-14 |