| NPI | 1134297286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000170) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DE L1-0031425) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-04-21 |