| NPI | 1568957819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA AP10042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10042) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2023-07-14 |