| NPI | 1730179912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IA 057785) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F057785) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |