| NPI | 1922294982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP7093) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: AZ RN054770) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2017-01-05 |