| NPI | 1730144585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR AO1062) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR PO1333) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AR R29142) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-02-19 |