| NPI | 1912954199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024165804) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: VA 0024165804) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-03-29 |