| NPI | 1558035139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH F08210235) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 057034-23) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2023-03-13 |