| NPI | 1659623478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024171148) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R208387) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421099) | |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2021-10-20 |