| NPI | 1124834122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL RN9560886) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11047568) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2026-05-26 |