| NPI | 1780865345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN166594) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 249171) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2024-02-20 |