| NPI | 1265044267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SC 1265044267) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 24192) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 24192) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-03-29 |