| NPI | 1467948455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R3722) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: ND R37222) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2022-10-31 |