| NPI | 1033875018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11016558) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61384567) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95027563) | |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2024-04-30 |