| NPI | 1043255367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2232-33) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 2232-033) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2013-12-30 |