| NPI | 1710941349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1054167) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AL 1054167) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-11-18 |