| NPI | 1902491988 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA GAA-NP001541) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 24728) | 
| Enumeration Date | 2021-03-02 | 
| Last Update Date | 2023-12-14 |