| NPI | 1770751364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164126) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024164126) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-05-28 |