| NPI | 1740703883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: PA SP018059) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: PA RN671339) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-07-21 |