| NPI | 1235650094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN194503) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN194503) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN194503) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |