| NPI | 1114306719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024172284) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172284) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024172284) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024172284) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2023-11-25 |