| NPI | 1891578555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN268331) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN268331) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |