| NPI | 1790261055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN231944) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: GA RN231944) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN231944) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |