| NPI | 1285894568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024167565) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30007742) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 109044) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |