| NPI | 1154752608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP015590) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: PA SP015590) | |
| 363L00000X Nurse Practitioner (Licence: PA SP015590) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2016-09-06 |