| NPI | 1396014643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN233062) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024169785) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2021-01-28 |