| NPI | 1326359274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP9265350) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9265350) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2016-06-23 |