| NPI | 1861277980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A175944) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A175944) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA A175944) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-11-18 |