| NPI | 1093918997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AR A02990) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR A002990) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-06-08 |