| NPI | 1649532771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN286625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-117908) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-10-08 |