| NPI | 1609865336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP2750862) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP2750862) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP2750862) | |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2007-07-08 |