| NPI | 1679730303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9482380) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 119969) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2022-12-27 |