| NPI | 1013961937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: GA 046697) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN046697 NP) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-08 |