| NPI | 1285495903 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9404701) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11042612) | 
| Enumeration Date | 2024-01-19 | 
| Last Update Date | 2025-10-01 |