| NPI | 1659334720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: TN 84632) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: NE 35676) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TN APN0000006462) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-06-27 |