| NPI | 1346244696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 070344-23) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM R31774) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2014-09-11 |