| NPI | 1053409326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 2959-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 115109-30) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-01-12 |