| NPI | 1326119355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 254016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-46628) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN-236) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |