| NPI | 1851672968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP08015) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN-1393) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2015-02-09 |