| NPI | 1174316244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 116359) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 95166) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-10-28 |