| NPI | 1588665061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP4264) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA tp-000357-g) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2014-05-14 |