| NPI | 1841757150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-163529) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: AL 1-163529) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2020-12-28 |