| NPI | 1346316619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024167965) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: VA 0001144705) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-02-23 |