| NPI | 1336121060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9392534) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 668889) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2017-10-02 |