| NPI | 1841269362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 22359) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WI 202281-030) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2018-03-13 |