| NPI | 1669130290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2022000985) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: MO 2011031055) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 53-80854-042) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2022-06-20 |