| NPI | 1154965705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR 235484) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA 222181) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2026-01-09 |