| NPI | 1346990199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN184011) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN184011) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN184011) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2023-09-20 |