| NPI | 1114759248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: DE LH-0010292) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: DE L1-0054983) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-09-12 |