| NPI | 1821877465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2023038253) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2023038352) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-11-22 |