| NPI | 1699482422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN315144) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA ga315144) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: GA RN315144) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2025-07-30 |