| NPI | 1366770489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA F123448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111083) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F-123448) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2019-07-02 |