| NPI | 1336685387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R177325) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R177325) |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2024-01-09 |