| NPI | 1356331128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704269367) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 107125030) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209000519) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2012-02-14 |