| NPI | 1134592538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN289098) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008187) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN289098) | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2021-02-26 |