| NPI | 1528474988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL APRN9340061) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN151120) |
| 363LF0000X Nurse Practitioner Family (Licence: FL RN9340061) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2019-03-14 |