| NPI | 1700660859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5018693) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5018693) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NC 5018693) | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-07-15 |