| NPI | 1306534524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026494) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: FL RN9484595) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-08-18 |