| NPI | 1942398680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP1159) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN111598) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-10-09 |