| NPI | 1124270848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A03096) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AR A03096) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2012-05-31 |