| NPI | 1912945288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN062113) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA R062113) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2025-04-03 |