| NPI | 1407170657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV APRN64553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 64553) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2023-09-08 |