| NPI | 1174962120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN207181) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 207181) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 207181) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-05-09 |