| NPI | 1215268990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 791838) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60116159) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 42 420956) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2012-02-08 |