| NPI | 1154566156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2013037714) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: KS 46243) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2014-02-18 |