| NPI | 1134182066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 20896) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R108568-4) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2017-04-19 |