| NPI | 1164657219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN167869) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN167869) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2023-04-06 |