| NPI | 1245572452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN305609) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657433-1) |
| 163W00000X Registered Nurse (Licence: GA RN305609) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421138) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 71413) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NV 863206) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO C-APN.0003291-C-NP) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-03-13 |