| NPI | 1710962303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT 16334) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT RN016334) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2015-11-25 |