| NPI | 1427474063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024171476) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC001439) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2016-06-13 |