| NPI | 1841227303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT NUR-APRN-LIC-100205) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT RN16927) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-10-05 |