| NPI | 1043441009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 5004458) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 183499) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5004458) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2024-03-18 |