| NPI | 1164515169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA AP04141) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA RN071817 AP04141) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2025-03-06 |