| NPI | 1245979988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 36072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000249007) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2026-02-27 |