| NPI | 1003548959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 10808) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 193905) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-08-11 |