| NPI | 1265561740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NV APN00205) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NV RN10989) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2013-11-05 |