| NPI | 1184047250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 5006843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 229265) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2021-03-29 |