| NPI | 1801879770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1545432) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 1545432) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 1545432) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |