| NPI | 1255326005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 8056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN000008056) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2017-06-12 |