| NPI | 1639268170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NV APN00364) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NV RN19842) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-09-16 |