| NPI | 1376717835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP9227950) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9227950) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP9227950) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2012-02-01 |