| NPI | 1053913160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN248691) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 28536) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-03-20 |