| NPI | 1801560552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MT 177829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 21687) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2022-03-22 |