| NPI | 1518373844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP9316028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9316028) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-08-23 |