| NPI | 1962545731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA NP041284) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA NP041284) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA FO804127) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2016-11-10 |