| NPI | 1447896956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN259595) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: GA RN259595) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2022-10-06 |