| NPI | 1871228353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SD CP002464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002464) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2025-05-05 |