| NPI | 1609813542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 1209) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC ANP1209) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-02-21 |