| NPI | 1821568957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024175976) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175976) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024175976) | |
| Enumeration Date | 2018-12-02 |
| Last Update Date | 2020-01-24 |