| NPI | 1053392837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 4630) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 4630) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 004630) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA RN00127171) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA AP30005373) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2025-09-05 |