| NPI | 1457316945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA TP003006G) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN336421L) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2016-10-11 |