| NPI | 1134323538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-085190) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS R855993) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2017-05-10 |