| NPI | 1689701682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP6844) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AZ RN047854) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-12-28 |