| NPI | 1215961990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ID N17955) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: ID NP204A) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-07-26 |