| NPI | 1568607422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004192) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 5004192) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2021-02-01 |