| NPI | 1467416701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP001528G) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN247525L) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-08-07 |