| NPI | 1063845071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2025014118) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 111564) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2025-11-07 |