| NPI | 1831205640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IA F091357) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F091357) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-04-24 |