| NPI | 1710508734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179883) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: VA 0001196813) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-08-20 |