| NPI | 1003630898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 115666) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 37003) |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2024-11-09 |