| NPI | 1952902066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 247423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 247423) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2025-05-09 |