| NPI | 1700238839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP8786) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ RN166198) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-09-02 |