| NPI | 1083785018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC F1112) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC F1112) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-08-06 |