| NPI | 1366550436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 1078) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 1078) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WI 1078) | |
| 363L00000X Nurse Practitioner (Licence: WI 1078) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |