| NPI | 1407858509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH0000134) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA UP004281G) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2007-07-08 |