| NPI | 1649467341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP009532) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000188) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2013-06-14 |