| NPI | 1023770898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 30385) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN-4555-0) |
| Enumeration Date | 2021-10-09 |
| Last Update Date | 2024-08-05 |