| NPI | 1891070330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9334301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9334301) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2019-04-08 |