| NPI | 1609918465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA RN549036) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP009204) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-08-02 |