| NPI | 1750474458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP004788V) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA VP004788V) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |