| NPI | 1942532445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2015039569) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP007089) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024169798) | |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2017-01-12 |