| NPI | 1801266853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024180086) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95003259) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95003259) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2022-05-06 |