| NPI | 1063618494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 2739042) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: FL 2739042) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2018-11-02 |