| NPI | 1750664934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5004784) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 3935) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |