| NPI | 1144648528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN1981374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN198374) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN198374) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-04-04 |