| NPI | 1982851374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704198938) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4704198938) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2012-02-20 |