| NPI | 1083718563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1101792) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 1101792) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-04-23 |