| NPI | 1326194416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-037115) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: AL 1-037115) |
| 363L00000X Nurse Practitioner (Licence: AL 1-037115) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-08-28 |