| NPI | 1902937295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 110158) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F-093327) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |