| NPI | 1699031096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: MO 120555) |
| Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: MO RN120555) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2016-12-20 |