| NPI | 1700070893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000006075) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 6075) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2015-12-07 |