| NPI | 1568414837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN128290) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN128290) |
| 364SP1700X Clinical Nurse Specialist, Perinatal (Licence: GA RN128290) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-08-21 |