| NPI | 1477574499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA RN046593-AP03532) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA RN046593) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA AP03532) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-01-29 |