| NPI | 1679319545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN245897) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA RN245897) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-02 |