| NPI | 1336647536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SC 21607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21607) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-01-17 |