| NPI | 1710055421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP002097G) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: PA RN290438L) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2016-07-06 |