| NPI | 1871649178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN 291) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE APRN 110263) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NV APN 00459) | |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |