| NPI | 1841906278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN248046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN248046) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-11-15 |