| NPI | 1396786810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 40551) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 11716.0033) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 102206) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |