| NPI | 1558742866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1109118) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9383044) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2017-05-12 |