| NPI | 1184753238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 097918) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 940103) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-12-10 |