| NPI | 1982679189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN226089) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024164385) |
| 163W00000X Registered Nurse (Licence: VA 0001151070) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2013-08-19 |