| NPI | 1316522030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM 62702) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NM 62702) |
| 363L00000X Nurse Practitioner (Licence: NM 62702) | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-07-05 |