| NPI | 1508845538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 8290) |
| Additional Taxonomies | 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility (Licence: TN RN135639) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2016-10-13 |