| NPI | 1437674447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 22709) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 22709) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2024-04-15 |