| NPI | 1205995222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NE 110190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 32905) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-18 |