| NPI | 1699145060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN144938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F07151354) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2018-10-25 |