| NPI | 1417006081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: HI MD-24448) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4353P) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363L00000X Nurse Practitioner (Licence: KY 3004353) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-06-19 |