| NPI | 1003804105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9227692) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9227692) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-03-29 |