| NPI | 1881775344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC RN1012702) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R146190) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-11-27 |