| NPI | 1083703045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP7036) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN053123) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN053123) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-09-04 |