| NPI | 1215964135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28074206A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 171676) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |