| NPI | 1770666869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR A01562) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA APO5046) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-02-02 |