| NPI | 1073974077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: DC RN1043828) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0017143992) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R226669) | |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2018-06-25 |