| NPI | 1821378027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 4036) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA FOR104269443) |
| 363L00000X Nurse Practitioner (Licence: GA RN102954) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2015-04-17 |