| NPI | 1508185505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R162903) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R162903) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2015-08-27 |