| NPI | 1861480485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 902222) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 15659) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2018-01-08 |