| NPI | 1770774028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3231) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 143381-030) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 3231) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-12-22 |