| NPI | 1205228285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 18442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18442) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2023-06-19 |