| NPI | 1497511760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 10033269) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OR 202212292RN) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-09-27 |