| NPI | 1699867523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 739776) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 516386) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-04-25 |