| NPI | 1730586991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: LA AP08064) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: LA RN126526) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-03-04 |