| NPI | 1952467870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD r172674) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R172674) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-10-17 |