| NPI | 1194360800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-161956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-161956) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2024-07-10 |