| NPI | 1841386604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP001357B) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA TP001357B) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: PA RN186250L) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-02-02 |