| NPI | 1275550113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP1617422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1617422) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5006152) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-06-01 |