| NPI | 1215650114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN283208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN283208) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-07-09 |