| NPI | 1083635452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP001402G) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA VP001402G) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |