| NPI | 1598901902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA RN612422) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 42 420866) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP010773) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 42420866) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2012-10-03 |