| NPI | 1134465693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NC 5012586) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: VA 0024170362) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2024-06-20 |