| NPI | 1528189578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 789-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 75722-030) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-08-19 |