| NPI | 1184659021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 000524) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT R39114) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-03-29 |