| NPI | 1023783099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 104785844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN236819) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2025-10-09 |