| NPI | 1306806195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP327) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN060824) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-12-10 |