| NPI | 1629229240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: GA RN124957) |
| Additional Taxonomies | 364SP1700X Clinical Nurse Specialist Perinatal (Licence: GA RN124957) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2022-07-21 |