| NPI | 1821083536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP2950) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 520716) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2008-03-25 |