| NPI | 1023620168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9806346-4405) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: UT 9806346-3102) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-01-28 |