| NPI | 1538830898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: IA A160964) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A160964) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2023-11-17 |