| NPI | 1023171055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 077690-23) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 201628) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-07-24 |