| NPI | 1568562072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024169385) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2015-05-26 |