| NPI | 1336113232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SC 243) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC A243) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2008-10-07 |