| NPI | 1881349157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95021175) |
| Additional Taxonomies | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: CA 95048923) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2023-10-12 |