| NPI | 1427364744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MO 2010028801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010028801) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2011-12-19 |