| NPI | 1851441927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 38522-1179) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA 38522-1179) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-01-03 |