| NPI | 1346470317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN2685062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2685062) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2021-11-04 |