| 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 |