| NPI | 1912236126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5011130) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN269241) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN251303) | |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2023-03-02 |