| NPI | 1437516952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2002007359) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MO BR11-0438-9860) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2026-02-16 |