| NPI | 1184611683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA 101004) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 101004) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-11-20 |