| NPI | 1043476104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA RN264222L) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: DE LH0000135) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP001405G) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2019-02-12 |