| NPI | 1861571374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0073435) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30007224) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421356) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-12-12 |