| NPI | 1295164259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP013431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN644593) |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2013-12-30 |