| NPI | 1902638190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 95166095) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95031918) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP95031918) | |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-06-08 |