| NPI | 1174313365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 12667882-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 12667882-3102) |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2026-06-18 |