| NPI | 1376507095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP9382388) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MD NP082802) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2016-10-11 |