| NPI | 1760165542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ID 77211) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ID 77211) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2025-07-28 |