| NPI | 1154575124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111893) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 187365-0) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2016-12-12 |