| NPI | 1699729475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 2890) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002890) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-11-07 |