| NPI | 1548294119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD MIL1-0432-2810) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-05-21 |