| NPI | 1346432770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP022800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-113403) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2022-11-11 |