| NPI | 1821859869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 265587) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: AZ 265587) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-02-14 |