| NPI | 1083958029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 170300000X Genetic Counselor, MS |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: KS 53-75848-111) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2021-05-31 |