| NPI | 1750541140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 2016172) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL RN2016172) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2013-07-17 |