| NPI | 1154753978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN154661) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN154661) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2025-10-13 |