| NPI | 1902120082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R134332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R134332) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2023-10-30 |