| NPI | 1669597662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000655) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: SD CP000655) |
| 364SW0102X Clinical Nurse Specialist Women's Health (Licence: SD CP000655) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2017-03-02 |