| NPI | 1770764383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: VA 0024147154) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: VA 0024147154) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2018-04-06 |