| NPI | 1992844492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5002620) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 0050-02620) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2015-08-28 |