| NPI | 1508970732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NE 110660) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 110660) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-08-29 |