| NPI | 1346481389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 41390.1753) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 102244) |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2018-06-25 |