| NPI | 1164516449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9312569) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9312569) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: DC RN64632) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-12-31 |