| NPI | 1043293533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000008351) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 8351) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2025-08-20 |