| NPI | 1255477493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 7640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 115953) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-08-08 |