| NPI | 1598748014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704174306) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704174306) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP 9251518) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2013-10-29 |