| NPI | 1114583101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN207040) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 207040) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2025-04-15 |