| NPI | 1720059199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP3384132) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL RN3384132) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2012-07-06 |