| NPI | 1962795310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: GA RN170150) |
| Additional Taxonomies | 364SP1700X Clinical Nurse Specialist Perinatal (Licence: GA RN170150) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |