| NPI | 1396023263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 309.005225) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 209.008480) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2012-05-13 |