| NPI | 1457347643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 110031) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 110031) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-09-26 |