| NPI | 1013086271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 74273-30) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 2066033) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 2066-033) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-08-05 |