| NPI | 1619963824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP01354) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: NM R56766) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-03-17 |