| NPI | 1780672782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71001058A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209-002983) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-07-08 |