| NPI | 1083129753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 2017021296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN239271) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN239271) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2022-12-14 |