| NPI | 1164995510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R180844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F03180238) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R180844) | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2026-09-09 |