| NPI | 1437496700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 21173-5) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 17072) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-14 |