| NPI | 1982685483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP2840652) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP2840652) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-12-05 |