| NPI | 1710900071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6338-33) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WI 6338-33) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-02-28 |