| NPI | 1760675417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-095066) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9176697) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |