| NPI | 1598068637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN207255) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: GA RN207255) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2021-10-12 |