| NPI | 1659479376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN095425) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA CAR1-0429-5727) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-05-02 |