| NPI | 1154935252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 202212405NP-PP) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: OR 2018-03117RN) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2022-12-15 |