| NPI | 1578801841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP0001893G) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: PA TP001893G) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2017-04-12 |