| NPI | 1689787137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AK 823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 823) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-04-04 |