| NPI | 1679596001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9461221) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA NP130879) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA NP130879) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-03-17 |