| NPI | 1386858272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 13209) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN074595 NP) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 459530) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-04-25 |