| NPI | 1184195216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 28662) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN249642) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA Rn249642) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-05-29 |