| NPI | 1396871224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NE 110831) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 110831) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-11-23 |