| NPI | 1972700516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 44964) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 090618) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2009-11-05 |