| NPI | 1063607778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 3270033) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209001792) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2013-10-01 |