| NPI | 1225565310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11037866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9437936) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2025-02-21 |