| NPI | 1093855686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA MATTI-0432-7278) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN161477) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-05-23 |