| NPI | 1952773715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024172557) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN966990) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: DC RN966990) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2022-07-21 |