| NPI | 1235326877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110913) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NE 52963) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2013-03-27 |