| NPI | 1457568651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MD R159055) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R159055) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-04-01 |