| NPI | 1932661865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN310079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-157891) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-04-12 |