| NPI | 1295141307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: GA RN177122) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: GA RN177122) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2021-03-12 |