| NPI | 1730232935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 005893) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 120883) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2014-11-10 |