| NPI | 1518552108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN315481) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA GAA-NP000657) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11011977) | |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2023-02-24 |