| NPI | 1619958683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MD AC000776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD AC000776) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2023-10-17 |