| NPI | 1184929721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 1193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 32081) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AK 1193) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |