| NPI | 1417589144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020004162) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 20200004162) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2023-10-03 |