| NPI | 1760489603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NE 110082) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NE 120017) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-12-10 |