| NPI | 1679514830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP1736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 043027) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-04-18 |