| NPI | 1134607286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: GA RN221313) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN221313) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA RN221313) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-12-07 |