| NPI | 1285331470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95024211) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95024211) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |