| NPI | 1134626096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010408) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 5010408) |
| 208M00000X Hospitalist (Licence: NC 5010408) | |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2019-06-19 |