| NPI | 1134713183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11034337) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9479626) |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2025-05-16 |