| NPI | 1801013529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI WIT1-0432-0739) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 123349030) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2013-05-28 |