| NPI | 1457492795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP00547) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM R28306) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2016-04-12 |