| NPI | 1386954816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 4233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 155895) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 4233) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2016-01-30 |