| NPI | 1689768962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024165358) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC RN63252) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-05-05 |