| NPI | 1205481629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 27552) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 27552) |
| 363L00000X Nurse Practitioner (Licence: GA RN286308) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2022-02-16 |