| NPI | 1184643074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: PA TP006710B) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: PA TP006710B) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-05-11 |