| NPI | 1023681129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0997244-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0003078-C-NP) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-03-13 |