| NPI | 1902912827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 000189) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CT 002310) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-08-10 |