| NPI | 1528293644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: VA 0024142737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001142737) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |