| NPI | 1407154222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 17545) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN RN0000162417) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 162417) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2020-02-19 |