| NPI | 1003498619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 35651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 218422) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-03-11 |