| NPI | 1386614618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 122210) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 122210) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-03-02 |