| NPI | 1922101278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ RN034375) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AZ RN034375) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-09 |