| NPI | 1770747149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR A001005) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AR 50561) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AR A001005) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-03-17 |