| NPI | 1598877367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 000028897N7) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30000672) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |