| NPI | 1740254119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP008030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003904) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-08-29 |