| NPI | 1639381643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167124) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024167124) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024167124) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-12-09 |