| NPI | 1780647289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101-0017200) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM R40494) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024169395) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC001007) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: DC RN11021412) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2014-12-10 |