| NPI | 1467412478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 5560) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 242381) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: ND R45533) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: SD R050011) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 002094) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-07-18 |