| NPI | 1780245662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 5011947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC RICH-OW8RAX) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2023-09-11 |