| NPI | 1114977642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: WA AP60518718) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ RN105739) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP1548) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: OR 201250195NP) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-11-19 |