| NPI | 1891890661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 003266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003266) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-07-29 |