| NPI | 1437515202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2015036383) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2015036383) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2017-03-14 |