| NPI | 1225025489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-01603) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: ID np-291A) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2016-11-03 |