| NPI | 1376611400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R079686) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R079686) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-09-21 |