NPI | 1770290538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11022260) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022260) |
Enumeration Date | 2022-11-01 |
Last Update Date | 2025-09-08 |