| NPI | 1407248255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP08227) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: LA RN062095) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-11-18 |