| NPI | 1730074360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ 338960) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 338960) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2026-05-19 |