| NPI | 1558307645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 44548) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F059108) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 084523) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 084523) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-01-17 |