| NPI | 1174520100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP5758) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 555118) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-02372) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2016-02-22 |