| NPI | 1437569407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R154963) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R154963) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2024-04-17 |