| NPI | 1528757010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MD R209410) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MD R209410) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |