| NPI | 1861129157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-152290) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 1-152290) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2025-03-05 |