| NPI | 1275614489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 800002) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 800002) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 800002) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-11-25 |