| NPI | 1760147755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ 249241) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 249241) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-05-30 |