| NPI | 1598180614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9404349) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 4380-33) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2015-10-02 |