| NPI | 1700867603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP0336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ rn037758) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2013-11-13 |