| NPI | 1457786527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN063326) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC APN.2712RX) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2016-12-06 |