| NPI | 1013987189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7461-33) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA 087220) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA 087220) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-10-28 |