| NPI | 1477155018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 255330) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: AZ 208557) |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: AZ 208557) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2021-03-10 |