| NPI | 1558390104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA APRN-NP118522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN118522) |
| 363L00000X Nurse Practitioner (Licence: GA APRN-NP118522) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2025-10-27 |