| NPI | 1205817251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP0009) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ RN075897) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2013-10-21 |