| NPI | 1194238907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN294699) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 23401) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2021-04-26 |