| NPI | 1518061977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV APRN46057) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP004562V) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2021-06-30 |