| NPI | 1093849135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 149591) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 44564) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-09 |