| 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 |