| NPI | 1114661246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11029304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9451996) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-09-13 |