| NPI | 1447588090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: VA 0024169945) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: NV APN001129) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2012-03-22 |