| NPI | 1568524536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000041125) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN APN0000005320) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |