| NPI | 1215195631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R854373) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MS R854373) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-01-11 |