| NPI | 1679552608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM R53238) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 9227) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2014-04-28 |