| NPI | 1093085268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1113617) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-113617) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2020-05-06 |