| NPI | 1861412652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CT 000520) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 000520) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-05-17 |