| NPI | 1265104293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 11359) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95018343) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-09-14 |