| NPI | 1952308892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP95028299) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NE 110257) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KS 53-78541-021) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MO 2019029476) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-03-04 |