| NPI | 1215686613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 35076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 216354) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2024-03-27 |