| NPI | 1467818856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 5376893052) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2015035374) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-06-27 |