| NPI | 1508184912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024170351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 149715) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2013-12-20 |