| NPI | 1518552108 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA APRN-NP315481) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11011977) | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA GAA-NP000657) | |
| Enumeration Date | 2021-03-04 | 
| Last Update Date | 2025-10-24 |