| NPI | 1790100063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 18676) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: FL 9201403) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |