| NPI | 1639607625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN216488) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA RN216488) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-02-18 |