| NPI | 1568094910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012809) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 5012809) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 5012809) | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2026-04-23 |