| NPI | 1811761893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: SC 27795) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 27795) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2024-03-25 |