| NPI | 1851978738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023552) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA sp023552) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-07-21 |