| NPI | 1487967618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN081939) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW003123) |
| 163W00000X Registered Nurse (Licence: GA RN081939) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |