| NPI | 1720008303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: PA SP009789) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WV APRN47950) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-12-30 |