| NPI | 1194478255 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN294007) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN294007) | 
| Enumeration Date | 2022-01-30 | 
| Last Update Date | 2025-10-12 |