| NPI | 1881680650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP00601) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM R30131) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2016-04-04 |