| NPI | 1619182433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN RN0000046478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 46478) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-10-08 |