| NPI | 1114021755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R102152) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R102152) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |