| NPI | 1114168069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 252570) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 12712) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2016-12-13 |