| NPI | 1306341508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9267184) |
| Additional Taxonomies | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: FL 9267184) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |