| NPI | 1881634459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000229) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP006775V) |
| 163W00000X Registered Nurse (Licence: DE L1-0026503) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-01-10 |