| NPI | 1861959033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024177429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001226022) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2022-03-09 |