| NPI | 1952861031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA MD61462712) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A179619) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2023-08-31 |