| NPI | 1023443215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV APRN78846-WHNP-BC) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV HEN1-0437-9557) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2019-10-16 |