| NPI | 1811654437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-150861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-150861) |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: AL 1-150861) | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-02-14 |