| NPI | 1003570730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN333028) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001283814) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2025-07-08 |