| NPI | 1467425579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ A6793) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN084459) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2015-07-02 |