| NPI | 1922713015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024200) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: FL RN9400444) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-09-07 |