| NPI | 1174634794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 201604566NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209002787) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-01-23 |