| NPI | 1932258571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: FL 1878862) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-09 |