| NPI | 1215938030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ID CNM-2A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 087006697N5) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-12-03 |