| NPI | 1205940293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ RN044164) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ RN044164) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-09-24 |