| NPI | 1336963552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 95032931) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 870567) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2026-06-24 |