| NPI | 1285852707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN124895) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 124895) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2012-05-30 |