| NPI | 1154949246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11011524) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN2740692) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-05-10 |