| NPI | 1396735353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11004733) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.005065) |
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: IL 209.005065) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-05-26 |