| NPI | 1144333683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AK 809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 23839) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-01-08 |