| NPI | 1922754936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN279248) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN279248) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-02-21 |