| NPI | 1144861303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 069722-23) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 2319640) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2023-12-05 |