| NPI | 1821144361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009722) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420571-1) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP001700G) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-04-06 |