| NPI | 1194526863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95034317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95411825) |
| 163W00000X Registered Nurse (Licence: IL 041565489) | |
| 163W00000X Registered Nurse (Licence: MA RN2343155) | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |