| NPI | 1619120946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI SEV1-0428-8081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 80782-030) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |