| NPI | 1881442762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11031685) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL APRN11031685) |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2025-08-05 |