| NPI | 1457727018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 281061) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC VALL-R97IOC) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2018-11-20 |