| NPI | 1487957163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV 91071) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 4388) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2015-08-25 |