| NPI | 1861503757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN072455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN072455) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN072455) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-12-06 |