| NPI | 1356390470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AK ANP81) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AK RN5854) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-10-26 |