| NPI | 1487943460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN184461) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN RN0000155509) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2024-02-05 |