| NPI | 1578663076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NC 115732) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1351) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-09 |