| NPI | 1487102869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20466) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 20466) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2022-04-19 |