| NPI | 1831180405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 94PA26) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP00188) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2015-06-22 |