| NPI | 1639461833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP4012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN057211) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2013-03-25 |