| NPI | 1851494942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 000861) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CT 000861) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-01-11 |