| NPI | 1861760134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP867062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP867062) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2012-01-25 |