| NPI | 1568765543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AK 271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 6586) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |