| NPI | 1235320854 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024167330) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167330) | 
| Enumeration Date | 2007-08-08 | 
| Last Update Date | 2024-08-23 |